title: Incorporating direct-to-consumer genomic information into patient care: attitudes and experiences of primary care physicians.
abstract: OBJECTIVE
  Despite predictions of increased clinical applications, little is known about primary care providers' (PCPs') readiness to apply genomics to patient care. The aim was to assess PCPs' current experience with genetic testing, their assessment of the understandability and clinical utility of information in sample direct-to-consumer reports for genomic assessment of disease risk and warfarin dosing and attitudes toward genomic medicine.
  
  
  METHODS
  A web-based survey of PCPs who are members of Knowledge Networks' Physician Consulting Network was conducted.
  
  
  RESULTS
  Of the 502 respondents (23.3% response rate), most ordered genetic tests infrequently. When presented with the direct-to-consumer genomic testing reports, most believed the reports were understandable, and would be willing to review results with a patient, and many believed the results would be helpful in patient management.
  
  
  CONCLUSIONS
  Despite limited experience with genetic tests, PCPs are open to helping patients understand genomic information. However, additional physician education is needed.
authors.affiliation: Division of Translational Medicine & Human Genetics, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Penn Tower Room 1115, Philadelphia, PA 19104, USA ; Penn Center for the Integration of Genetic Healthcare Technologies, University of Pennsylvania, Philadelphia, PA 19104, USA.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Bernhardt
authors.forename: Cara
authors.initials: C
authors.lastname: Zayac
authors.forename: Erynn S
authors.initials: ES
authors.lastname: Gordon
authors.forename: Lisa
authors.initials: L
authors.lastname: Wawak
authors.forename: Reed E
authors.initials: RE
authors.lastname: Pyeritz
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Gollust
keywords: genetic testing; genetics; genomics; pharmacogenomics; physician experience; physician readiness